Document Detail


Imagined Timed Up & Go test: a new tool to assess higher-level gait and balance disorders in older adults?
MedLine Citation:
PMID:  20444477     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Few studies have explored motor imagery (MI) as a way of accessing the higher-level of control of complex body movements involved in gait or balance. The objective of this study was 1) to measure and compare the time needed to complete the Timed Up & Go test (TUG), the time needed to imagine performing the same test (iTUG) and to calculate the time difference between both of these conditions (delta time) in a sample of young and older adults, and 2) to examine whether there was an association between the Timed Up & Go test results (TUG, iTUG, delta time), age and cognitive decline. METHODS: A total of 162 subjects (38 healthy young adults, mean age 25.7+/-2.3 years, 73.7% women and 124 older inpatients, mean age 85.3+/-6.5 years, 76.6% women) were included in this cross-sectional study. The mean+/-SD of TUG, iTUG and delta time, age and the Mini Mental State Examination (MMSE) score were used as main outcomes. RESULTS: Age was associated with an increase in time of TUG (P<0.001) and of delta time (P=0.015), and with a decrease in time of iTUG (P<0.001), whereas cognitive decline was only associated with increase in delta time (P=0.030). There was an increase in time of TUG (P<0.001) and in delta time (P<0.001) for subjects who used a walking aid. The increase in delta time depended on the MMSE score when the subjects did not use a walking aid (P for trend=0.001). CONCLUSIONS: iTUG is clinically feasible among frail older adults and may quickly inform any clinician about higher-level changes in control of gait and balance in older adults.
Authors:
Olivier Beauchet; Cédric Annweiler; Frédéric Assal; Stephanie Bridenbaugh; François R Herrmann; Reto W Kressig; Gilles Allali
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-04
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  294     ISSN:  1878-5883     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  102-6     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier B.V. All rights reserved.
Affiliation:
Department of Internal Medicine and Geriatrics, Angers University Hospital, UPRES EA 2646, University of Angers, UNAM, France. olbeauchet@chu-angers.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged, 80 and over
Cross-Sectional Studies
Feasibility Studies
Female
Gait Disorders, Neurologic / diagnosis*
Humans
Male
Neurologic Examination / methods
Neuropsychological Tests
Orthopedic Equipment
Postural Balance
Task Performance and Analysis
Time Factors
Vestibular Diseases / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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